Individual provider Active NPI

XI Z Deng, D.D.S

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1518146448
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050673-1 Issued in NY
Practice address
42 Eldridge St
Apt. #6
New York, NY 10002-5233
Phone
(212) 219-9513
NPI assigned
Oct 28, 2007
Last updated
Oct 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050673-1 NY Primary

Addresses

Primary practice location

42 Eldridge St
Apt. #6
New York, NY 10002-5233

Mailing address

42 Eldridge St
Apt. #6
New York, NY 10002-5233
Phone (212) 219-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180330000761 NY Order and Referring Only - DentistPractitioner - Dentist 0446512537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050673-1NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1518146448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ELDRIDGE ST",
            "address_2": "APT. #6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025233",
            "telephone_number": "212-219-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ELDRIDGE ST",
            "address_2": "APT. #6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025233",
            "telephone_number": "212-219-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "XI",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050673-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.